Affiliation:
1. Department of Ophthalmology of USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Abstract
Introduction: Here, we present a case of macular hole (MH) reopening after an initial successful closure with an inverted internal limiting membrane (ILM) flap procedure.
Case Report: The patient was a 72-year-old Hispanic male who presented with decreased vision in the right eye who was found to have a 431 μm, full-thickness macular hole. The patient underwent three separate 25-gauge pars plana vitrectomies to correct the macular hole. The first involved an inverted ILM flap technique, the second one removal of the flap and the third one subretinal injection of balanced salt solution (BSS).
Conclusion: The failure of the inverted ILM flap, we believe, was primarily due to the inferiorly attached flap being pulled down by surface tension of the rising fluid level.
Publisher
Edorium Journals Pvt. Ltd.
Subject
Materials Chemistry,Polymers and Plastics,Surfaces, Coatings and Films,General Chemistry,Animal Science and Zoology,Statistics, Probability and Uncertainty,General Mathematics,Statistics and Probability,Psychiatry and Mental health,Applied Psychology,General Earth and Planetary Sciences,General Engineering,Education,Developmental and Educational Psychology,Education,Plant Science,Drug Discovery